scholarly journals Proactive responses to aggressive behaviours in out-of-home care

2010 ◽  
Vol 35 (1) ◽  
pp. 31-38
Author(s):  
Stephen Larmar ◽  
Julie Clark

Children and young people placed in out-of-home care often present with a range of complex and challenging behaviours that place significant stress on carers and other individuals involved in the placement process. The need for practical support, including the facilitation of knowledge sharing opportunities to better support carers and other health care professionals in assisting children and young people in out-of-home care, is of particular importance within the Australian context. This paper is the third in a series of four papers exploring a range of challenging behaviours that may be evidenced in children and young people placed in out-of-home care. The paper focuses on aggressive behaviours in children and adolescents and outlines a working framework to assist carers in responding appropriately to aggressive responses within the out-of-home care context.

2009 ◽  
Vol 34 (3) ◽  
pp. 30-37 ◽  
Author(s):  
Stephen Larmar ◽  
Julie Clark

Children and young people placed in out-of-home care are often extremely vulnerable and can require intensive support. Their carers are often faced with significant challenges in effectively responding to their individual needs. This paper is the first in a series of four aimed at supporting carers to make effective responses to challenging behaviours displayed by children and young people in out-of-home care. This paper considers factors that influence an individual child or young person's behaviour as a means of encouraging proactive responses by carers that will address individual need. The series of papers is informed by Edelbrock's (1985) work identifying four clusters of challenging behaviours, with each paper examining one of these clusters. This first paper has a focus on oppositional behaviours. Ensuing papers will examine offensive behaviours, aggressive behaviours and delinquent behaviours respectively.


2010 ◽  
Vol 35 (3) ◽  
pp. 25-31
Author(s):  
Stephen Larmar ◽  
Julie Clark

The transition from childhood to young adulthood is often associated with a range of challenges that can be overwhelming for a young person. For young people in out-of-home care, complex histories that may include traumatic personal experiences can make this transition even more problematic, both for the young person and their carers. This is the final paper in a series of four which has focussed on a range of challenging behaviours in children and young people in out-of-home care. This paper examines delinquency and its associated effects on young people and carers and outlines specific considerations for carers and other health professionals in responding appropriately to delinquent behaviours in young people.


2016 ◽  
Vol 22 (1) ◽  
pp. 15
Author(s):  
Susan M. Webster

Australian Primary Health Networks could pioneer local health service reform for children and young people living in out-of-home care. Significant maltreatment, the leading cause of placement of 0–17-year-olds under the protective canopy of foster, kinship and residential care (described collectively as out-of-home care) left more than 50000 children vulnerable to poor health outcomes in 2013–14. Opportunistic health care is inadequate to meet the chronic and complex health needs of maltreated children. This article reviews some critical lessons from English commissioning and US healthcare marketplace reforms in an attempt to better meet the needs of children and young people in out-of-home care. It identifies key questions that Australian Primary Health Networks would need to resolve if they were to follow overseas trends and adopt health service commissioning as a means to provide more effective and efficient health care for this at-risk population.


2009 ◽  
Vol 34 (4) ◽  
pp. 21-28 ◽  
Author(s):  
Stephen Larmar ◽  
Julie Clark

Children and young people in out-of-home care experience significant challenges in the adjustment process. All family members are affected by the transition of a child or young person into the family and so carers require a unique set of skills and strategies to respond appropriately. This paper is the second in a series of four papers examining responses to a range of challenging behaviours seen in children and young people placed in out-of-home care contexts. The first paper explored strategies that carers could employ to deal with oppositional behaviours identified in the child or young person. This paper considers offensive behaviours that may be evidenced in children and young people, and practical approaches which carers can utilise to respond proactively to such behaviours.


BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e031362
Author(s):  
Emma Galvin ◽  
Renée O'donnell ◽  
Helen Skouteris ◽  
Nick Halfpenny ◽  
Aya Mousa

IntroductionChildren and young people placed in out-of-home care (OoHC) are often affected by a history of trauma and adverse childhood experiences. Trauma in early childhood can impact on children’s health and psychosocial development, whereas early interventions can improve children’s development and placement stability. Although several interventions and practice models have been developed to improve health and psychosocial outcomes for children and young people in OoHC, there remains a lack of rigorous research examining the impact of these interventions in OoHC settings, as there are no systematic reviews examining the impact these interventions and practice models have on the children and young people they serve. We aim to conduct a comprehensive systematic review to examine the effectiveness of interventions and practice models for improving health and psychosocial outcomes in children and young people living in OoHC and to identify relevant knowledge gaps.Methods and analysisMajor electronic databases including Medline, Medline in-process and other non-indexed citations, Embase, Cumulative Index to Nursing and Allied Health Literature, PsycInfo, Sociological Abstracts and all Evidence-Based Medicine Reviews incorporating: Cochrane Database of Systematic Reviews, American College of PhysiciansJournal Club, Database of Abstracts of Reviews of Effects,Cochrane Central Register of Controlled Trials, CochraneMethodology Register, Health Technology Assessment and National Health Service Economic Evaluation Database, will be systematically searched for any studies published between 2008 and 2018 of interventions and practice models developed to improve health and psychosocial outcomes for children and young people in OoHC. Two independent reviewers will assess titles and abstracts for eligibility according to prespecified selection criteria and will perform data extraction and quality appraisal. Meta-analyses and/or metaregression will be conducted where appropriate.Ethics and disseminationThis study will not collect primary data and formal ethical approval is therefore not required. Findings from this systematic review will be disseminated in a peer-reviewed publication and conference presentations.PROSPERO registration numberCRD42019115082.


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